Individual provider Active NPI

Cheryl Ann Hess, PMHNP, LCSW

  • Psychiatric/Mental Health Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1013094093
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
18764 Issued in SC
Practice address
1200 Ridgefield Blvd Ste 250
Asheville, NC 28806-2287
Phone
(828) 633-6070
Fax
(828) 633-6073
NPI assigned
Nov 1, 2006
Reactivated
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW0000003700 TN
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X APN0000017669 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5009551 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202112142NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18764 SC Primary

Addresses

Primary practice location

1200 Ridgefield Blvd Ste 250
Asheville, NC 28806-2287

Mailing address

2715 Colonial Dr
Columbia, SC 29203-6818
Phone (919) 354-0840

Other practice location 1

182 SW Academy St
Dallas, OR 97338-1996
Phone (503) 623-9289

Other identifiers 4

IdentifierTypeStateIssuer
3927844MedicaidTN
NP2775MedicaidSC
P01577818OtherSCRAILROAD MEDICARE
Q023142MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC, VA, OR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20041216000610 TN Practitioner - Clinical Social Worker 4587621909 Reassigns benefits to 1 organization
Practice locations: Kingsport, TN
I20140721000668 SC Practitioner - Nurse Practitioner 4587621909 Reassigns benefits to 1 organization
I20170705001757 VA Practitioner - Nurse Practitioner 4587621909 Reassigns benefits to 1 organization
I20211124000993 OR Practitioner - Nurse Practitioner 4587621909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of PolkGroup PAC ID 7315930492, 9 clinicians

Practice addresses (Care Compare)

182 SW Academy St
Suite 302
Dallas, OR 97338-1900
Phone (503) 623-8175

Hospital & facility affiliations

  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LSW0000003700TNMDClinical Social Worker
APN0000017669TNMDAdult Psychiatric/Mental Health Registered Nurse
202112142NP-PPORMDPsychiatric/Mental Health Nurse Practitioner
18764SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 1, 2021 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Aug 1, 2016 Accepting new patients
County of Polk CurrentSince Oct 1, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Aug 1, 2016 Accepting new patients
County of Polk Current Accepting new patients
Polk County Alcohol and Drug CurrentSince Oct 1, 2021 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jun 25, 2017 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 1, 2021 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients

Locations

182 SW Academy St
Ste 302
Dallas, OR 97338
Phone (503) 623-8175

182 SW Academy St
Ste 333
Dallas, OR 97338
Phone (503) 623-9289

182 SW Academy St
Dallas, OR 97338
Phone (503) 623-9289

1520 Plaza St NW
Ste 150
Salem, OR 97304
Phone (503) 585-3012

2715 Colonial Dr
Columbia, SC 29203
Phone (803) 898-4777

1800 Colonial Dr
Columbia, SC 29203
Phone (803) 898-0123

301 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 359-3545

215 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 756-1000

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

403 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-7042

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1013094093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 COLONIAL DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036818",
            "telephone_number": "919-354-0840",
            "fax_number": "877-840-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RIDGEFIELD BLVD STE 250",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062287",
            "telephone_number": "828-633-6070",
            "fax_number": "828-633-6073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "182 SW Academy St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "OR",
            "postal_code": "973381996",
            "country_code": "US",
            "telephone_number": "503-623-9289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESS",
        "first_name": "CHERYL ANN",
        "credential": "PMHNP, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "deactivation_date": "2021-03-03",
        "reactivation_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000003700",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "TN",
            "license": "APN0000017669",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5009551",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202112142NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "18764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3927844",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2775",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01577818",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q023142",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.